Answer to Question 1
D
A policy of admitting only the patient into the ED until the nurse is able to complete a physical assessment and screen for IPV would be most likely to be beneficial and not arouse the suspicion of the batterer. Privacy is of the utmost importance during this time.
A policy that pertained only to women would likely make a batterer suspicious, and he and the patient might resist its implementation.
Unless the survey was completed in privacy, the woman would not feel safe answering it honestly.
Assessing both male and female patients is a good idea because anyone can be the victim of IPV, but filling out a questionnaire in the presence of the batterer would not be safe.
Answer to Question 2
D
Telling the patient that she will help her collect a urine sample in the restroom is the best response because it will likely get the woman away from the partner for a short time, during which the nurse can assess for IPV and help the woman make a plan for her safety. In extreme cases, with the woman and partner now separated, the partner can be escorted out and the woman assisted to leave safely. Privacy is of the utmost importance when asking about IPV, and the nurse should ensure the patient's privacy during this time.
A nurse should never assess a woman for IPV with the partner present.
Bluntly telling the partner he must leave will likely result in anger and resistance on the part of the partner, and the woman may side with the partner and insist he be allowed to remain if she is fearful of the consequences of having him leave.
Having security escort the partner to the ED waiting room would be very confrontational, and the patient may become fearful and side with the partner to avoid future violence.
The nurse needs to note the source of the patient health history
Nurse examining and measuring hematuria sample from client with a UTI
Nurse Sandy
Nurse's hand over patients abdomen
A physical therapist exercising the patient’s leg in a physical therapy department.
Drugs for Hypertensive Emergency